Cancer Nursing最新文献

{"title":"Illness Perception and Risk Management Behaviors Among Patients With Gynecologic Cancer at Risk of Lower Extremity Lymphedema.","authors":"Jing Chen, Siyu Guan, Chaonan Jiang, Zhiqi Yang, Zijun Guo, Huiling Zhang, Yaqian Huang, Mingfang Li, Jun Yan","doi":"10.1097/NCC.0000000000001425","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001425","url":null,"abstract":"<p><strong>Background: </strong>Patients with gynecologic cancer who undergo lymphadenectomy are at increased risk of lower extremity lymphedema (LEL). They are encouraged to be alert to the possibility of LEL and take risk-management measures throughout life. However, we know little about the perception for LEL and adherence to risk-management measures of Chinese patients with gynecologic cancer.</p><p><strong>Objective: </strong>To assess the illness perception and risk management behaviors of Chinese gynecologic cancer patients and further examine the effect of illness perception on risk management behaviors.</p><p><strong>Methods: </strong>This was a cross-sectional study. From June to December 2023, gynecologic cancer patients at risk of LEL were surveyed (n = 223). Questionnaires on illness perception and risk management behaviors specifically for LEL were utilized. Descriptive statistics, Pearson correlation analysis, univariate analysis, and multiple linear regression analysis were used for data analysis.</p><p><strong>Results: </strong>The participants exhibited suboptimal LEL risk management behaviors, with the physical activity dimension receiving the lowest score (3.24 ± 1.02). Patients' self-perceived understanding of LEL was relatively low (2.88 ± 0.83). Multiple linear regression analysis revealed that the identity, cause, and control dimensions of illness perception, as well as several demographic and disease variables, were significant predictors of patients' LEL risk management behaviors.</p><p><strong>Conclusions: </strong>The LEL risk management behaviors of patients with gynecologic cancer need to be improved. Consideration of perceptions of identity, cause, and control is crucial for enhancing LEL risk management behaviors.</p><p><strong>Implications for practice: </strong>Health professionals can implement targeted health education based on an assessment of patients' perceptions of LEL, thereby promoting lymphedema risk management.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Telenursing on the Self-management of Gastrointestinal Symptoms in Adolescent Cancer Patients Receiving Chemotherapy.","authors":"Mostafa Ahadi Shahri, Azam Shirinabadi Farahani, Maryam Rassouli, Mehdi Khabazkhoob, Shima Mohammadi Aghbelagh","doi":"10.1097/NCC.0000000000001447","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001447","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy is one of the cancer treatments among adolescents, after which nursing care at home is required due to developing side effects such as constipation, nausea, vomiting, and diarrhea. One solution to deliver nursing care is to provide remote self-management training.</p><p><strong>Objective: </strong>The aim of this study is to investigate the impact of telenursing on the self-management of gastrointestinal (GI) symptoms among adolescents undergoing chemotherapy.</p><p><strong>Methods: </strong>In this intervention study, 66 adolescents 12 to 18 years of age who were referred to teaching hospitals for receiving chemotherapy were selected through randomized block sampling. The data were collected through demographic and clinical questionnaires, the researcher-made form for GI symptoms and conditions, and the researcher-made questionnaire for the self-management of GI symptoms among adolescents. Data analysis was done using SPSS version 20.</p><p><strong>Results: </strong>The findings show that there was no significant statistical difference between the control group and the intervention group in terms of demographic characteristics. According to the independent-samples t test and repeated-measures analysis of variance, using an educational website had a significant positive impact on the scores of GI symptoms self-management, 1 week and 1 month after the intervention (P < .001).</p><p><strong>Conclusions: </strong>Given that the intervention group patients could better manage their GI symptoms on their own by visiting the educational website Cancer Information, it can be concluded that telenursing can affect the self-management of GI symptoms among adolescent patients with cancer who receive chemotherapy.</p><p><strong>Implications for practice: </strong>The website Cancerinformation.ir can be used in the self-management of GI symptoms in cancer patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Share the Fear\": Communication Concerns of Parents With Cancer With Dependents and Coparents: A Qualitative Needs Assessment Study.","authors":"Cinzia Caparso, Zoe Bowen, Sung Won Choi","doi":"10.1097/NCC.0000000000001433","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001433","url":null,"abstract":"<p><strong>Background: </strong>The estimated 1.6 million adults in the United States with cancer who also have dependents face unique challenges given the profound impact of cancer on their families, such as increased psychological distress, decreased quality of life, and altered family functioning. Unfortunately, little is known about the mutual cancer-related communication concerns from the perspectives of the parents with cancer or the coparents. Coparents care for the patient and dependents until they reach adulthood (eg, unmarried, divorced, stepparent, and/or same-sex partnerships).</p><p><strong>Objective: </strong>To understand the mutual cancer-related communication concerns from the perspectives of parents with cancer and the coparents and intervention delivery preferences.</p><p><strong>Methods: </strong>Fifteen parents with cancer and 15 coparents were recruited to participate in semistructured interviews between October 2022 and September 2023 within an academic medical center in Midwestern states. Interviews were conducted via Zoom. The data were analyzed through Charmaz's inductive grounded theory approach.</p><p><strong>Results: </strong>Parents with cancer and the coparents desire communication assistance with each other about discussing the cancer diagnosis with dependents, end-of-life planning, managing finances, and addressing mental health concerns and emotions. The majority of participants reported interest in a virtually delivered intervention.</p><p><strong>Conclusions: </strong>Findings from this study provide a mutual understanding of cancer-related communication concerns from the perspectives of parents with cancer and the coparents.</p><p><strong>Implications for practice: </strong>These findings provide awareness for providers and the foundation to inform a web-based communication intervention about cancer-related concerns to promote family resiliency in this population, which provides a resource for providers to utilize.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping With Anticipatory Grief: A Qualitative Study of Parents of Children With Advanced Cancer.","authors":"Yong Hao Ng, Fang Fu","doi":"10.1097/NCC.0000000000001445","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001445","url":null,"abstract":"<p><strong>Background: </strong>Anticipatory grief is a common but understudied phenomenon among parents of children with advanced cancer. Appropriate coping with anticipatory grief may promote better adaptation before and after the death.</p><p><strong>Objective: </strong>To explore the anticipatory grief experiences and coping approaches of such parents in Shanghai, China.</p><p><strong>Methods: </strong>Using Husserlian phenomenology approach, 4 fathers and 16 mothers were interviewed at the Children's Medical Center in Shanghai. The transcripts were analyzed using Colaizzi phenomenological methods.</p><p><strong>Results: </strong>Five themes were developed. The first theme described anticipatory grief experiences characterized by trauma and chronic misery, and the next 4 themes described how the parent coped with the grief through avoidance, acceptance, hope, and being present-focused. Parents coped differently at different times-from diagnosis, the time while the child was on treatment, to the time the parents could consider the possibilities of an uncertain future. The study also found that coping with grief is an intrapersonal and interpersonal process.</p><p><strong>Conclusion: </strong>The study offers insights into parents' dynamic coping processes when living with grief. Nurses could play a critical role in facilitating this process of living with grief.</p><p><strong>Implications for practice: </strong>Oncology nurses, by understanding parents' anticipatory grief, can align themselves with the parents' coping processes to provide appropriate support.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediating Role of Financial Toxicity in the Relationships Between Health-Related Quality of Life and Its Risk Factors in Chinese Patients With Cancer.","authors":"Binbin Xu, Winnie K W So, Kai Chow Choi, Yu Huang, Mei Liu, Lanxiang Qiu, Jianghong Tan, Hua Tao, Keli Yan, Fei Yang","doi":"10.1097/NCC.0000000000001432","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001432","url":null,"abstract":"<p><strong>Background: </strong>Factors influencing health-related quality of life (HRQoL) and financial toxicity (FT) have been found to overlap, and the robust correlation between HRQoL and FT raises the possibility that FT mediates the relationships between the shared risk factors and HRQoL. However, empirical evidence supporting this hypothesis is limited.</p><p><strong>Objective: </strong>This study aimed to explore whether FT mediates the relationships between HRQoL and its risk factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted, with 1208 participants from 12 hospitals (6 tertiary, 6 secondary) in 6 cities across 3 income-level-diverse provinces in China from February to October 2022. FT and HRQoL were measured using the COmprehensive Score for financial Toxicity and the Functional Assessment of Cancer Therapy-General. Twenty-two risk factors for both HRQoL and FT were included for analysis. Mediation analyses were conducted using Mplus 8.3.</p><p><strong>Results: </strong>FT predominantly mediated the relationships between HRQoL and both annual household income and hospital level. Meanwhile, it partially mediated the relationships of HRQoL with the number of treatment modalities, social support, perceived stress, healthcare provider-patient discussion regarding cancer care costs, and social medical insurance, and the mediating effect accounted for 19.7%, 7.8%, 10.7%, 22.3%, and 46.8% of the total effect, respectively.</p><p><strong>Conclusions: </strong>FT plays a significant mediating role in the associations between HRQoL and some of its risk factors among patients with cancer.</p><p><strong>Implications for practice: </strong>Developing a more comprehensive and patient-centered approach to cancer care that addresses the unique challenges posed by cancer-related FT is urgently needed to improve the HRQoL among this population.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Auricular Acupressure Combined With Positive Psychological Techniques on Sleep Quality in Cancer Patients Undergoing Radiotherapy: A Randomized Controlled Trial.","authors":"Liuna Bi, Wenjuan Gao, Qian Zhang, Na Li, Xian Zhang, Jing Han","doi":"10.1097/NCC.0000000000001436","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001436","url":null,"abstract":"<p><strong>Background: </strong>Auricular acupressure (AA) and positive psychological intervention (PPI) are promising sleep improvement methods.</p><p><strong>Objective: </strong>To assess and compare the efficacies of combined intervention (CI [AA + PPI]), AA, and PPI in sleep quality enhancement and their potential effects in alleviating negative psychological states in radiotherapy-treated patients with cancer.</p><p><strong>Methods: </strong>This study was a 4-arm, placebo-controlled randomized trial. We randomly assigned 120 eligible patients into 4 groups (30 patients per group). The main outcomes included subjective sleep quality, psychological distress, and fear of cancer recurrence, which were measured at baseline, immediate postintervention, and 4 weeks postintervention. Objective sleep quality was measured using Fitbit Charge 3 at baseline and immediate postintervention. The intervention effects were estimated using the linear mixed model.</p><p><strong>Results: </strong>The 4 groups demonstrated significant differences in subjective sleep quality (P < .001), psychological distress (P = .004), and fear of cancer recurrence (P < .001). CI, AA, and PPI had different degrees of positive effects on subjective sleep quality compared with sham control; CI was more effective than AA and PPI, whereas AA was more effective than PPI. CI and PPI showed significant and comparable effects on psychological distress and fear of cancer recurrence reduction. Only CI and AA significantly improved the objective sleep quality.</p><p><strong>Conclusions: </strong>CI, AA, and PPI are recommended as complementary therapies to improve the sleep quality of patients with cancer.</p><p><strong>Implications for practice: </strong>In future clinical practice, healthcare workers should assess patients' sleep quality and psychological status and select appropriate interventions.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptom Management Guideline Implementation Among Nurses in Cancer-Specific Outpatient Settings: A Scoping Review of Barriers, Facilitators, and Implementation Strategies.","authors":"Kylie Teggart, Amina Silva, Christian J Lopez, Denise Bryant-Lukosius, Sarah E Neil-Sztramko, Rebecca Ganann","doi":"10.1097/NCC.0000000000001414","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001414","url":null,"abstract":"<p><strong>Background: </strong>Oncology outpatients experience high levels of distressing cancer-related symptoms. Nurses can provide high-quality outpatient cancer symptom management following clinical practice guideline recommendations; however, these guidelines are inconsistently used in practice. Understanding contextual factors influencing implementation is necessary to develop tailored implementation strategies.</p><p><strong>Objectives: </strong>To identify and describe (1) barriers and facilitators influencing symptom management guideline adoption, implementation, and/or sustainability among nurses in cancer-specific outpatient settings and (2) components of strategies used to enhance guideline implementation.</p><p><strong>Methods: </strong>A scoping review was conducted following Joanna Briggs Institute methodology. CINAHL, EMBASE, EMCARE, MEDLINE, and gray literature sources were searched. Eligibility screening and data extraction were performed in duplicate. The updated Consolidated Framework for Implementation Research and Expert Recommendations for Implementing Change taxonomy informed data extraction and descriptive analysis.</p><p><strong>Results: </strong>Thirty-six projects from 2004 to 2023 were included; most used quality improvement (n = 14) or quasi-experimental (n = 10) designs. Determinants were most often mapped to the \"inner setting\" and \"individuals-roles/characteristics\" Consolidated Framework for Implementation Research domains. Most projects used multiple discrete implementation strategies within the \"train and educate stakeholders\" (n = 29, 85%) and/or \"develop stakeholder interrelationships\" (n = 20, 59%) categories.</p><p><strong>Conclusions: </strong>Nurses may face several barriers to symptom management guideline implementation within cancer-specific outpatient setting workflows and may have limited opportunity to implement guidelines within their current roles. Most projects used educational strategies, which alone may be insufficient to address reported barriers.</p><p><strong>Implications for practice: </strong>By identifying barriers, facilitators, and strategies, this scoping review can be used to design tailored strategies to implement symptom management guidelines within outpatient oncology nursing care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Symptom Distress and Depression on Quality of Life in Patients With Terminal Cancer: The Mediating Role of Meaning in Life and Spiritual Well-being.","authors":"Kyung-Ah Kang, Inhye Song, Myung-Nam Lee","doi":"10.1097/NCC.0000000000001431","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001431","url":null,"abstract":"<p><strong>Background: </strong>Terminal cancer patients experience worsening physical symptoms, psychological challenges, and spiritual difficulties. Improving the quality of life (QOL) and reconstructing the meaning of life (MIL) for these patients ensure a dignified end-of-life experience. Spiritual well-being is necessary to promote effective end-of-life coping strategies.</p><p><strong>Objective: </strong>This study aimed to construct and verify the suitability of a model that explains the impact of physical and psychological factors on the QOL of patients with terminal cancer using MIL and spiritual well-being as mediating factors.</p><p><strong>Methods: </strong>The participants were patients with terminal cancer 25 years or older hospitalized in 40 nationally designated hospices. A total of 172 patients were included in the final analysis. Data analysis was performed using structural equation modeling.</p><p><strong>Results: </strong>In the effect analysis of the final model, the variables affecting QOL were depression (β = -.62, P < .001), symptom distress (β = -.33, P = .001), and spiritual well-being (β = .36, P = .002), and a significant indirect effect of MIL was found in the depression-MIL-spiritual well-being and depression-MIL-QOL paths.</p><p><strong>Conclusions: </strong>Spiritual interventions that help people find their MIL can serve as an important component of optimal hospice and palliative care for patients with terminal cancer.</p><p><strong>Implications for practice: </strong>In clinical practice, interventions that increase the MIL and spiritual well-being of patients with terminal cancer are needed. Additionally, the practice will see other benefits including enhanced patient care, psychological support, effective treatment planning, family caregiver support, and further research advancement.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Symptom Cluster Severity Profiles Are Associated With Higher Levels of Stress and Worse Quality of Life in Postmenopausal Women With Breast Cancer.","authors":"Carolyn S Harris, Yvette P Conley, Margaret Q Rosenzweig, Kirk I Erickson, Bruce A Cooper, Catherine M Bender","doi":"10.1097/NCC.0000000000001423","DOIUrl":"10.1097/NCC.0000000000001423","url":null,"abstract":"<p><strong>Background: </strong>Although common, the severity of the psychological symptom cluster (PSC) (ie, co-occurrence of anxiety, depression, fatigue, sleep disturbance) varies among women with breast cancer. In addition, the impact of various types of stress and other risk factors on its severity are understudied, and the influence of the PSC on quality of life (QOL) outcomes remains poorly characterized.</p><p><strong>Objective: </strong>To identify subgroups of postmenopausal women with breast cancer with distinct PSC severity profiles following surgery and evaluate whether these subgroups differed in terms of demographic and clinical characteristics, symptoms, social and posttraumatic stress, and QOL.</p><p><strong>Methods: </strong>Following surgery, 159 postmenopausal women with early-stage, hormone receptor-positive breast cancer completed assessments of anxiety, depression, fatigue, sleep disturbance, cognitive function, physical symptoms, stress, and QOL. Latent profile analysis was used to identify subgroups of women based on the severity of the prespecified PSC. Parametric and nonparametric tests were used to evaluate for subgroup differences.</p><p><strong>Results: </strong>Three distinct PSC severity subgroups were identified (ie, Lower [71.7%], Moderate [23.9%], Higher [4.4%]). Compared with the Lower subgroup, the Moderate subgroup was less likely to have received prior radiation, and the Moderate and Higher subgroups had worse perceived cognitive function, higher symptom burden, higher posttraumatic stress, and lower QOL. Clinically relevant sleep disturbance was common across PSC subgroups.</p><p><strong>Conclusions: </strong>PSC severity is associated with higher posttraumatic stress and poorer QOL following breast surgery. Sleep disturbance is a common problem and may be undertreated.</p><p><strong>Implications for practice: </strong>Assessments of posttraumatic stress and sleep disturbance are needed for timely intervention.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Exercise Intervention on Chemotherapy-Induced Peripheral Neuropathy Symptoms in Cancer Patients: A Meta-analysis.","authors":"Nan Wu, Hongshi Cao, Shiyuan Du, Yulu Chen, Xinxin Wang, Jiong Li, Xin Peng","doi":"10.1097/NCC.0000000000001435","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001435","url":null,"abstract":"<p><strong>Background: </strong>Exercise has been widely used to improve chemotherapy-induced peripheral neuropathy symptoms in cancer patients in recent years; however, there is insufficient evidence to support the effectiveness of exercise intervention in cancer patients.</p><p><strong>Objective: </strong>This review aims to comprehensively evaluate the effectiveness of exercise intervention in the management of chemotherapy-induced peripheral neuropathy symptoms in cancer patients and to explore effective exercise intervention characteristics by comparing the effects of different exercise prescriptions.</p><p><strong>Methods: </strong>Ten databases were systematically searched from published up to May 2024. The studies that met the inclusion criteria were included. The risk of bias was assessed using the Cochrane Collaboration tool. The statistical analyses were performed in Stata 17.0.</p><p><strong>Results: </strong>A total of 21 studies with 775 participants were included. The pooled results showed that exercise significantly reduced the severity of chemotherapy-induced peripheral neuropathy symptoms; relieved neuropathic pain; enhanced balance function, muscle strength, physical flexibility, and physical endurance; and improved the quality of life of cancer patients with chemotherapy-induced peripheral neuropathy, both compared with patients in the usual care group and with patients' baseline symptoms before exercise. However, no significant improvement in fear of falling was observed.</p><p><strong>Conclusions: </strong>Exercise is an effective way of managing chemotherapy-induced peripheral neuropathy symptoms. The patient's age, exercise cycles, and frequency can affect the effect of the intervention.</p><p><strong>Implications for practice: </strong>Oncology nurses can significantly manage chemotherapy-induced peripheral neuropathy symptoms in cancer patients through exercise intervention. Further research is necessary to explore the most suitable characteristics of exercise intervention to achieve optimal intervention effectiveness.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}